go back

Nebraska rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $34.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $43.65 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $46.77 / $60.26